HomeMy WebLinkAbout30239602 - Permit (2)Project Address: 1330 S Rita Wav
Assessor'sParcel: 109-375-09 Lot: 61
Unit:
Block: NA
Btdg:
Tract: 2070
Address Range:
Historic: No
Suite Range:
Zoning: R'l
q
City of Santa Ana 20 Civic Center Plaza (M-19), Santa Ana, CA 92702 Plumbing
Permit Counter: (714) 647-5800 lnspection Requests: (714') 667-?738 lnspector Section: (714) 647-5853
Permit #: 30239602
Pin #: 33879
Owner:
Address;
Phone;
Tenant Name;
Contractor:
Address:
Tracy Vu
21845 Michigan Lane
Lake Foresl, cA 92630
(949) 510-6661
Owner-Builder
Fee Type
01116002 51602 Shower/Bathtub
0'1116002 5'1600 General PIan Update
01116002 51602 lssuance
Amount
21.42
21.25
52.98
Qty
1.00
1.00
1.00
Fee
$21 .42
$21 .2s
$52.98
Phone
State Lic #:
Lic Type:
Bus. Lic #:
Workers' Compensation lnsurance:
Carrier:
Poiicy #:
Expires:
gotch+:{4411 - 6/2q/2..|18 I0r ororoleslS0ffice: CTYH Trsnsi: str 3 of 5Accti: Ref+! 311239602
Rcpt?:02299674 - 6/?tl.12CUg 4:17 Pll
Trqnsoct ion Totol t11015.97
Trocg Vu
Generol Fldn Updote Fee
01r16002- 51600000-
Plurb ins
01u6002- 51602000-
ICL ChPck 00341
tzl.?5
171.40
tl r 015. ?7
Building Use:
Job Type:
Nature of Work:
Single Family Owelling
Addition
Addn
Occupancy:
Constr Type
Code:
R-3, U
VB
cPc 2016
Notes: Legalizetub,/shower.
Planning Conditions:
Planning Approval By
Plan Checked By
Permit lssued By
Subject to Field:
Building Permit #
Date:
Date:
95773
Every permit bsued shall become invalid unless the wo* on the site
authorized by such pemit is cofimenced within 180 days after its
issuance, ot if the wo* authodzed on the site by such pefinit is suspendod
o( abandoned for a period of 1 80 days aftet the lime the wo* is
commenced.
lnspector MID#: 20'18-141900
06120t2014
Account#
01'1 16002 51600
01116002 51602
$21.25
$74.40
Fee Tolal:
Paid to Date:
Balance Due
itoTtcE OF UO!-ATION
Misc. Receiptl
Misc. Receipt:
Misc. Receipt;
Total
$95.65
$0.00
$95.65
PLUMBING-INSPECTOR RECORD
APPROVALS DATE ID/SIG.COMMENTS
UNDEB GBOUND
Waste & Vent
Water-Under floor
Gas-Underfloor
Building Sewer
Area,i Storm Drain
lnterceptor/ Clarilier
TOP OUT
Waste & Vent
Water Pipinq
Gas Piping
Tub/Shower Test
Rouqh Water Heater
POOL/SPA
P{rap/Drain Line
Ivlain Drain/Pool Piping
Fill Line/Back Flow
Pool Heater/Gas Line
Gas Service
Water Service
Lawn Sprinkler
Sanitary Sewer/Cap
Back Flow Device
Rough Plumbing
Final Gas Test
Meter Release
FINAL 1l>rl te w{9
Notes, Remarks, Etc.
oWNI]R BTJII-D!:R DEI-CAR-{TION
I hcrchy rfiirnr trRlcr nctr.lry of pcrlu.y rhar I urcr.nr fmrn rhc C.nricro$ Liccnsc lrw for rhD lollosine rcN,n (Scc7011.5
Bu:inc\\ ul Pdtrsi,)n (dc): Any Ciry o! Couiry qhi.h rcquircs r pcrmir k, con{tu.r. rlrcr. improvc, d.nDlNh or qxfi dry
{tuciurc, Irirb irs Gsxrn(. rl$ rLltuir.! rhr rprli.mr nrskh lj(hnir ro liLd (i8n.{ sdcmd rh hc or shc i\ lien\.rl I AUmi
h rnc po nnr\ oi rhc Conrrrctr's l.ic. {d liw lcha|ncr 9, Co ncNin8 wirh s...oi 7(xxr.r l)ivni :l oflh. ausiN( and
Irhfc\ri(,tr Codr ) or rhd hL orrhc Ncxctrrpr rhcrcfro .trd rh. h.\i\ nJrr,r dllc8.d crcnrlrion Anyviol bnolSccrio.T0ll5byany
0Dplicrtrrror.r-*.nril hF.rsrl"e rlflicinr ro rcivilI)cnalryolmrnDrclh!n fivc h!ndrcddolhr (S50u)
-1.
&i opft, of fic nrcFny. or my cmplorrcs eitn w6gci a5 rh.ir $h ompcns.tio.. wiu do ltE wdt md tlE slrEl@ is ml
inr.rH o. of,cftn for rL (Sc.?OL. Busircss ud Pr.f.ssions Codc: Th. Conrrsro\ Ltens L,p rh.s rct {pply ro o osmr ol
ft trepcny *ho hrilds !r in!n6 tlrc@., dd who dG tuh &Il hidcll or IEEIf or lhbugi hir d lrcr om.nploy6,
fovidcd thor slch impmwMrs @ tur intcricd or oftrcd for sL. ll k wEi r,r hilding or inll@tu.r is sld wirhi. oN )46olorpldbtr rt Oerc, Build.. eill hrw tlE hnL. ofpmvii8 du lE or stE dt mt hrild or irprDE lh. FDFry for llt p!qb* of
-1,
isoeftr.fthE poFrly. !m.rclusiwlyco mllin8 wirn licc.*d c.nrB€lou lo.on(rucl l,E rmjccl (Scc.7044. Busims
o'd h,f6\i,n Cod.i Thc Conteror's Li.cnsc llw do.s nor dprly b rn ow.cr or propcdy who bdlds o. improvcs lhcr.on,
and wno onltris for such I'oj.{is pur\urnr t, rh. Contr.roi\ l-i.cn{ l-rwr
-l
ancxcmpl undcr S(l
I hcrchy Jlltn !n,lur pcmhyorprrjury
I htrvc $dwill 'tunnrin u Ccdi6.dt ol Conscnr r)lNUrc for wort.F Nmp.ns0riotr. as tDvidcd lor by Sdi6n l70o oI rh.
l-ntx)r C,nl.. l,r rlf pcr,o un.c of rhc sbrk lar which ihc Il.rnit i\ isdcJ
-l haw md will odnrain work r' compcnsslion iNurmc.. rs rcqutud by Sal ion l?00 of th. kbor Codc. to! thc p..fomE. of
lhc Mrk tur *hkh il r Fmii is issEn. My worlGl onvEnelhn insrBmc .Mid &d polky nunbcr m:
-l
ccnif, rhat in thc pc orm.cc of rhc sork for which rhn perdir ir ir.Nd. I sh!!l nol cnploy ny p.son in ony mnnei
$ as ro bcom Nbj..r to rhc wmk6 omr.nsarion hws ofc.lifomi:. snd lgN thot il I shout llMm subrer ro rtr
{ort6' .oq,cnslion pmvisio.s of Sdion 1700 of the t tor Cod., I shlll. tonhwnh 6nply wnh rhoc povisions..
WARNINC: tjlihrc b *curc (nkrr q,v.rasc is lnlxwrul, drd shil rubJc.r {n mrk,rr lo rimi.al Ittulrb ai.l
civil ,lncs up n, otrc hundrcd lhous dollrA io. ro t cost ofconFnetion. damScs as providcd lor rlr
sNrion ll)?6ofrhc l, nrC.dc. inrcrcd and 4
I h.nb, lftun und.r p.n lly of ldjury ision ofCilnrcr 9 (comtuning airhS..rion 7 xDoiDivnion:l
of lhc Busircs and PofcslioB Codc, .!d my licn€ i! i! tull fo@ ad .6el
-Li..ns
Nunbci
COIEIXUqUOXIDNDINCIGENS
I herchy amr.r un<b, Fralry ot pcriury rhar thce is a co.irudbn h.dir8 08cRy tu $. FaornEmc of lh. work for *hi.h rhis Fmn ir
tsued (S(. 1097, Civ. C.)
AIILICANLIECI,ABAIIq!
I h6d,y {trm und.. pena[y of pe+ry orc ol rh. folhsing d.cLBiiom:
Dcmlhion Pcmns Aslisros Noiflc.rion Fcdr.l Rcgulnrions (Tirlc 40. Psn6)
_Rcquncd krrc! o, Norifrarbn
E8lrdin8 ffitr{os rcmv.l!rc dl {pplicnblc lo rhis Dn,Fl
n cndEcr.I ag1e r. cohnly wnh allCilyond Colnty
rcprc\enraiiver orrhi{ Ciry,nd Cdunlylo cnrqr uaon
,nA/ze 2rl
Rool Drain
Miscellaneous
Conlmlor:-